PHRN - Medical Billing (100% Onsite in Ortigas) | To Start on January 12, 2026

TASQ Staffing Solutions; Pasig; Vor Ort; Vollzeit

Benefits dieser Stelle

Signing bonus

Zusammenfassung

A leading staffing solutions provider in Pasig City is seeking a Coverage and Access Specialist (PHRN) to manage interactions with insurance payers. The role requires an active PHRN license and good communication skills. Responsibilities include verifications, customer interactions, and case management, with shifts primarily during the night. This position offers a signing bonus and a 100% onsite work setup.

Qualifikationen

• Must have an active PHRN license.
• Good English communication skills required.
• Ability to work independently and as part of a team.

Aufgaben

• Interact with insurance payer representatives for benefit verifications.
• Develop and maintain SME level knowledge of brand and customer workstreams.
• Manage assigned cases throughout the patient journey.

Kenntnisse

Good English communication skills

Knowledge of healthcare regulations

Ability to work independently

Ausbildung

Active PHRN license

Jobbeschreibung

WITH SIGNING BONUS!

Work setup: 100% Onsite (Ortigas, Pasig City)

Shift: Shifting schedule - predominantly Nightshift

Start Date: January 12, 2026

Responsibilities

Coverage and Access Specialist (PHRN)

• Professionally and compliantly interact with insurance payer representatives during outbound phone calls for benefit verifications (New BVs, Annual reverification BVs and Bridge Eligibility Checks) and coverage exception follow up calls (Prior Authorization (Pas), Non- Formulary Exceptions (NFEs) and Appeals)
• Volume and case type to be worked to be determined by Novartis, but in collaboration with supplier based on current SLAs within the PSC and expected agent productivity
• Accurately and concisely document payer interactions to inform cross-functional partners on the patients coverage status

Care Navigator (PHRN)

• Develop and maintain Subject Matter Expert (SME) level knowledge of the relevant brand and customer workstreams for the specific assigned program
• Learn and utilize protocols to respond to customer phone, chat, fax, SMS / text, mail, and e-mail inquiries as well as other communication channels in a prompt and courteous manner
• Professionally and compliantly interact with customers, relevant Novartis associates, and other external contacts during inbound and outbound phone calls
• Manage assigned cases throughout the patient journey; perform proper and timely escalation, tracking, triage and follow-up where required

Requirements

• Must have an active PHRN license
• With or without BPO experience
• Good English communication skills
• Knowledge of healthcare regulations and compliance
• Ability to work independently and as part of a team